NPI | 1417684895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-102645) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03442323) |
Enumeration Date | 2022-08-04 |
Last Update Date | 2024-06-12 |